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1285926915 NPI number — KAROLL JOSE CORTEZ RIVERO M,D.

NPI Number: 1285926915
Health Care Provider/Practitioner: KAROLL JOSE CORTEZ RIVERO M,D.

Information about “1285926915” NPI (KAROLL JOSE CORTEZ RIVERO M,D.) exists in 1285926915 in HTML format HTML  |  1285926915 in plain Text format TXT  |  1285926915 in PDF (Portable Document Format) PDF  |  1285926915 in an XML format XML  formats.

NPI Number : 1285926915 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1285926915",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CORTEZ RIVERO",
    "FirstName": "KAROLL",
    "MiddleName": "JOSE",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "M,D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "CORTEZ-AUSTERLITZ",
    "OtherFirstName": "KAROLL",
    "OtherMiddleName": "JOSE",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "M.D.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "5225 POOKS HILL RD",
    "SecondLineMailingAddress": "APT# 210 N",
    "MailingAddressCityName": "BETHESDA",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "20814-2052",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "301-530-8258",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "6701 N CHARLES ST STE 5100",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BALTIMORE",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21204-6808",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "443-849-2327",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "05/13/2011",
    "LastUpdateDate": "07/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207RI0200X",
        "TaxonomyName": "Infectious Disease Physician",
        "LicenseNumber": "0101231221",
        "LicenseNumberStateCode": "VA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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